| NPI | 1083958805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4757) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2022-06-08 |